Power Liam, Wong Ivan
Dalhousie University Medical School, Halifax, Nova Scotia, Canada.
Department of Surgery, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Arthrosc Tech. 2021 Jan 20;10(1):e221-e228. doi: 10.1016/j.eats.2020.09.033. eCollection 2021 Jan.
Traumatic anterior dislocation of the shoulder accounts for the vast majority of shoulder dislocations. Recurrence following initial traumatic dislocation is common, and the risk is increased by the presence of both bony and soft-tissue damage. Arthroscopic procedures have been described to address each of these etiologies individually but have not provided a technique to address bony and soft tissue pathology concurrently. This paper describes an all-arthroscopic, anatomic glenoid repair using distal tibial allograft with an inferior-to-superior capsular shift, addressing significant glenoid bone loss and capsular laxity with a single operation.
创伤性肩关节前脱位占肩关节脱位的绝大多数。初次创伤性脱位后复发很常见，并且骨与软组织损伤同时存在会增加复发风险。已有关节镜手术分别针对这些病因进行处理，但尚未提供一种能同时处理骨与软组织病变的技术。本文描述了一种全关节镜下使用异体胫骨远端移植并进行从下至上的关节囊移位的解剖学盂唇修复术，通过一次手术解决明显的盂骨缺损和关节囊松弛问题。
